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J. Thomas Hutton, MD, PhD

Arch Neurol. 1981;38(8):533.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Atrial myxoma can appear with a broad array of systemic and/or neurologic symptoms. This article describes a previously unrecognized initial appearance: progressive multipleinfarct dementia and seizure disorder. This case is reported because of its rarity and because of the potential for therapy if clinically recognized.

REPORT OF A CASE

An 82-year-old man was examined at the Minneapolis Veterans Administration Medical Center for a one-year history of progressive mental decline. His symptoms began with progressive loss of recent memory, irritability, and narrowing of his range of interests. When driving his car in familiar surroundings, he became lost. His speech output diminished, and he finally was noticed to be disoriented. Eight months after his initial symptoms appeared, he began experiencing brief seizures characterized by stereotyped lapses in contact with his surroundings. On one occasion such an episode progressed to a major motor seizure for which phenytoin sodium was prescribed. He also . . . [Full Text PDF of this Article]

Author Affiliations
From the Neurology Service, Minneapolis Veterans Administration Medical Center, and the Department of Neurology, University of Minnesota Medical School, Minneapolis.

Footnotes
Accepted for publication Feb 24, 1981.

Reprint requests to Neurology Service (127), VA Medical Center, 54th Street and 48th Avenue S, Minneapolis, MN 55417 (Dr Hutton).

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